{
    "meta": {
        "total": 2,
        "page": 1,
        "per_page": 50,
        "pages": 1,
        "sort": "rate",
        "direction": "desc",
        "reporting_year": "CY2025",
        "rule": "CMS-0057-F",
        "note": "Rates are computed from published counts. null means the payer published no value; it never means zero."
    },
    "filings": [
        {
            "filing_id": "f0244",
            "parent_org": "Group Health Cooperative of South Central Wisconsin",
            "plan_name": "GHC-SCW Qualified Health Plan (Marketplace)",
            "contract_id": null,
            "coverage_type": "Marketplace QHP",
            "state": "WI",
            "reporting_period": "CY2025 (Jan 1 - Dec 31, 2025)",
            "std_total": null,
            "std_approved": null,
            "std_denied": null,
            "std_denial_rate": 3,
            "std_denial_rate_printed": 3,
            "std_appeals_total": 4,
            "std_appeals_overturned": null,
            "std_appeal_overturn_rate": 25,
            "exp_total": null,
            "exp_approved": null,
            "exp_denied": null,
            "exp_denial_rate": 3,
            "ext_review_approved": null,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 0,
            "exp_tat_mean_hours": 4.8,
            "exp_tat_median_hours": 0,
            "reports_counts": false,
            "quality_flags": "info:percentages_only",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://ghcscw.com/wp-content/uploads/2026/02/MK26-9-02.26FL_Prior-Authorization-Summary-Flier_2025_V1.pdf",
            "source_segment": "w3_midwest",
            "extraction_note": "Percentages only (97%/3% standard, 97%/3% urgent) -- reports_counts=false, no counts recorded. Document prints a footnote that only 4 appeals total occurred in this line ('*Only had 4 appeals in these categories') with 25% approved / 75% denied after appeal -- recorded std_appeals_total=4 and std_appeal_overturn_pct=25 as printed; did NOT compute the corresponding overturned headcount (would require multiplying 25%x4, which is a derived number, not a transcribed one). Document explicitly labels expedited/urgent TAT in days (0.2 mean / 0 median); converted to hours per brief instructions (0.2*24=4.8, 0*24=0) and flagged as a conversion."
        },
        {
            "filing_id": "f0243",
            "parent_org": "Group Health Cooperative of South Central Wisconsin",
            "plan_name": "GHC-SCW BadgerCare Plus (WI Medicaid)",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "WI",
            "reporting_period": "CY2025 (Jan 1 - Dec 31, 2025)",
            "std_total": null,
            "std_approved": null,
            "std_denied": null,
            "std_denial_rate": 2,
            "std_denial_rate_printed": 2,
            "std_appeals_total": null,
            "std_appeals_overturned": null,
            "std_appeal_overturn_rate": null,
            "exp_total": null,
            "exp_approved": null,
            "exp_denied": null,
            "exp_denial_rate": 1,
            "ext_review_approved": null,
            "std_tat_mean_days": 1.2,
            "std_tat_median_days": 0,
            "exp_tat_mean_hours": 9.6,
            "exp_tat_median_hours": 0,
            "reports_counts": false,
            "quality_flags": "info:appeals_not_reported; info:percentages_only",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://ghcscw.com/wp-content/uploads/2026/02/MK26-9-02.26FL_Prior-Authorization-Summary-Flier_2025_V1.pdf",
            "source_segment": "w3_midwest",
            "extraction_note": "This filing (and the Marketplace QHP line below, from the same document) publishes only rounded approval/denial percentages (98%/2% standard, 99%/1% urgent) with no underlying counts -- reports_counts=false, no std_total/std_approved/std_denied recorded per the NULL-is-not-zero rule. Document explicitly labels expedited/urgent TAT in days (0.4 mean / 0 median), not hours -- converted per brief instructions (0.4*24=9.6, 0*24=0) and flagged as a conversion. No appeals data reported for this line."
        }
    ]
}